Individual
STACY MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 SAUTERNES CIR, LAFAYETTE, LA 70503-6507
(337) 384-0888
Mailing address
119 SAUTERNES CIR, LAFAYETTE, LA 70503-6507
(337) 384-0888
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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